Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $44.50 / $199.44	Facility		$17.05	$44.50	$199.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $15.63 / $17.05	Professional		$13.54	$15.63	$17.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $87.90	Facility		$18.05	$18.05	$87.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.92	Professional		$8.91	$8.91	$10.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $81.75 / $122.37	Professional		$53.49	$81.75	$122.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $45.25 / $92.28	Facility		$12.61	$45.25	$92.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.13 / $20.65	Professional		$10.23	$12.13	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $22.56 / $26.71	Professional		$21.66	$22.56	$26.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.74 / $17.05	Facility		$15.14	$15.74	$17.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $27.29 / $43.00	Professional		$9.88	$27.29	$43.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $25.40 / $4,071.00	Facility		$14.04	$25.40	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $25.23 / $4,071.00	Professional		$14.04	$25.23	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.83 / $18.05	Professional		$7.58	$10.83	$18.05